Organization
CIRCLE CITY OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCI MARIE BELL (CORPORATE SECRETARY / PRACT. ADMIN.)
(951) 735-1002
Entity
Organization
Contact information
Practice address
807 W GRAND BLVD, # A, CORONA, CA 92882-3272
(951) 735-1002
(951) 735-9150
Mailing address
807 W GRAND BLVD, # A, CORONA, CA 92882-3272
(951) 735-1002
(951) 735-9150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5503TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292905722
—
CA
Enumeration date
07/02/2014
Last updated
07/02/2014
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